Phacoemulsification using a chisel-shaped illuminator: enhanced depth trench, one-shot crack, and phaco cut
Jaemin Wi1, Hyejin Seo1, Jong Yeon Lee1
1Department of Ophthalmology, Gachon University Gil Hospital, Incheon - Korea.
European Journal of Ophthalmology
|September 23, 2015
Summary
This study introduces a novel intracameral illuminator-assisted nucleofractis technique for cataract surgery. The method simplifies nucleus division, potentially reducing phacoemulsification time and complications.
Area of Science:
- Ophthalmology
- Surgical Techniques
- Cataract Surgery
Background:
- Cataract surgery involves nucleus division, a challenging step.
- Conventional phacoemulsification can be time-consuming and carry risks.
Purpose of the Study:
- To evaluate the efficacy and outcomes of an intracameral illuminator-assisted nucleofractis technique.
- To assess the safety and efficiency of this novel approach in cataract surgery.
Main Methods:
- A novel nucleofractis technique using an intracameral illuminator was employed in approximately 300 cataract cases.
- The technique involves enhanced depth trenching, a one-shot crack confirmed by posterior capsule reflex, and phaco cut with an elliptical phaco mode.
Main Results:
- No capsular bag or zonular complications were observed.
- Effective phacoemulsification time appeared shorter compared to conventional methods.
Conclusions:
- The intracameral illuminator-assisted nucleofractis technique simplifies nucleus division.
- This simplification contributes to safer and more efficient phacoemulsification in cataract surgery.


